NPI: 1104977214 · HARRISBURG, PA 17104 · 1223G0001X
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 14 | $281.46 |
| 2021 | 3,092 | $101K |
| 2024 | 1,217 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D1110 | 550 | 548 | $20K | |
| D2391 | 357 | 160 | $18K | |
| D0120 | 890 | 889 | $18K | |
| D1351 | 465 | 112 | $11K | |
| D7140 | 169 | 85 | $11K | |
| D1208 | 578 | 578 | $11K | |
| D2392 | 170 | 66 | $10K | |
| D1120 | 300 | 300 | $9K | |
| D0274 | 318 | 318 | $9K | |
| D2330 | 99 | 46 | $5K | |
| D0330 | 51 | 51 | $2K | |
| D1310 | 170 | 170 | $2K | |
| D1330 | 168 | 168 | $2K | |
| D0150 | 13 | 13 | $240.00 | |
| D0220 | 25 | 25 | $200.00 |